Individual
MARK CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 VIRGINIA AVE, SUITE A, CONNERSVILLE, IN 47331-2921
(615) 585-5941
Mailing address
2561 KANLOW DR, ANTIOCH, TN 37013-3951
(615) 941-5204
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000039499
TN
207R00000X
Internal Medicine Physician
MD0000039499
TN
Other
Enumeration date
06/08/2006
Last updated
05/10/2022
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